PMID- 34458019 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210831 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 9 DP - 2021 TI - Prognostic significance and tumor-immune infiltration of mTOR in clear cell renal cell carcinoma. PG - e11901 LID - 10.7717/peerj.11901 [doi] LID - e11901 AB - Mammalian target of rapamycin (mTOR), a serine/threonine kinase involved in cell proliferation, survival, metabolism and immunity, was reportedly activated in various cancers. However, the clinical role of mTOR in renal cell carcinoma (RCC) is controversial. Here we detected the expression and prognosis of total mTOR and phosphorylated mTOR (p-mTOR) in clear cell RCC (ccRCC) patients, and explored the interactions between mTOR and immune infiltrates in ccRCC. The protein level of mTOR and p-mTOR was determined by western blotting (WB), and their expression was evaluated in 145 ccRCC and 13 non-tumor specimens by immunohistochemistry (IHC). The relationship to immune infiltration of mTOR was further investigated using TIMER and TISIDB databases, respectively. WB demonstrated the ratio of p-mTOR to mTOR was higher in ccRCC than adjacent specimens (n = 3), and IHC analysis elucidated that p-mTOR expression was positively correlated with tumor size, stage and metastasis status, and negatively correlated with cancer-specific survival (CSS). In univariate analysis, high grade, large tumor, advanced stage, metastasis, and high p-mTOR expression were recognized as prognostic factors of poorer CSS, and multivariate survival analysis elucidated that tumor stage, p-mTOR and metastasis were of prognostic value for CSS in ccRCC patients. Further TIMER and TISIDB analyses uncovered that mTOR gene expression was significantly associated with numerous immune cells and immunoinhibitors in patients with ccRCC. Collectively, these findings revealed p-mTOR was identified as an independent predictor of poor survival, and mTOR was associated with tumor immune infiltrates in ccRCC patients, which validated mTOR could be implicated in the initiation and progression of ccRCC. CI - (c) 2021 Li et al. FAU - Li, Na AU - Li N AD - Department of Urology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Chen, Jie AU - Chen J AUID- ORCID: 0000-0003-4077-437X AD - Department of Urology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. AD - Department of Urology, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China. FAU - Liu, Qiang AU - Liu Q AUID- ORCID: 0000-0002-2236-5049 AD - Department of Cardiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Qu, Hongyi AU - Qu H AD - Department of Pediatric Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Engineering and Technology Research Center for Pediatric Drug Development, Jinan, Shandong, China. FAU - Yang, Xiaoqing AU - Yang X AD - Department of Pathology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Gao, Peng AU - Gao P AD - Department of Cardiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Wang, Yao AU - Wang Y AD - Department of Cardiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Gao, Huayu AU - Gao H AD - Department of Pediatric Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Engineering and Technology Research Center for Pediatric Drug Development, Jinan, Shandong, China. FAU - Wang, Hong AU - Wang H AD - Department of Urology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China. FAU - Zhao, Zuohui AU - Zhao Z AUID- ORCID: 0000-0002-8391-9770 AD - Department of Pediatric Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Engineering and Technology Research Center for Pediatric Drug Development, Jinan, Shandong, China. LA - eng PT - Journal Article DEP - 20210817 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC8378334 OTO - NOTNLM OT - Cancer-specific survival OT - Mammalian target of rapamycin OT - Prognosis OT - Renal cell carcinoma OT - Tumor-infiltrating immune cell COIS- The authors declare that they have no competing interests. EDAT- 2021/08/31 06:00 MHDA- 2021/08/31 06:01 PMCR- 2021/08/17 CRDT- 2021/08/30 05:58 PHST- 2021/04/17 00:00 [received] PHST- 2021/07/13 00:00 [accepted] PHST- 2021/08/30 05:58 [entrez] PHST- 2021/08/31 06:00 [pubmed] PHST- 2021/08/31 06:01 [medline] PHST- 2021/08/17 00:00 [pmc-release] AID - 11901 [pii] AID - 10.7717/peerj.11901 [doi] PST - epublish SO - PeerJ. 2021 Aug 17;9:e11901. doi: 10.7717/peerj.11901. eCollection 2021.